RQKSM-R400UHF RFID READER (BLUETOOTH EMBEDDED)

11F Kolon Aston Bldg, 505-14, Gasan-dong, Guemcheon-Gu,Seoul,153-803 KOREA TEL No : +82 2 790-5505 FAX No : +82 2 790-5509 July 09, 2012 Federal Communications Commission Authorization and Evaluation Division 1435 Oakland Mills Road Columbia, MD 21046 In re : Sammi Information Systems Co, Ltd. FCC Application for FCC ID: RQKSM-R400 To Whom It May Concern: We, the undersigned, hereby attest to the fact that we will apply the Declaration of Conformity procedure to the class B computer peripheral portion of this composite filing. Regards, Dong-Su, Park Assistant Manager

11F Kolon Aston Bldg, 505-14, Gasan- dong,Guemcheon-Gu,Seoul,153-803 KOREA TEL No : +82 2 790-5505 FAX No : +82 2 790-5509 July 09, 2012 Federal Communications Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 LETTER OF AUTHORIZATION To whom it may concern: We, the undersigned, hereby authorize LTA Co., Ltd., to act on our behalf in all manners relating to application for equipment authorization for FCC ID: RQKSM-R400 including signing of all documents relating to these matters. Any and all acts carried out by LTA Co., Ltd., on our behalf shall have the same affect as acts of our own. This authorization is valid until further written notice from Sammi Information Systems Co, Ltd. LTA Co.,LTD. (Contact Person) Contact name: LEE, Kyu-Hyun Position: Manager Phone:(82)31-323-6008 E-mail: [email protected] Sincerely, Dong-Su, Park Assistant Manager

11F Kolon Aston Bldg, 505-14, Gasan-dong,Guemcheon-Gu,Seoul,153-803 KOREA TEL No : +82 2 790-5505 FAX No : +82 2 790-5509 July 09, 2012 Federal Communications Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 In re : Sammi Information Systems Co, Ltd. FCC ID: RQKSM-R400 Request for Confidentiality Pursuant to Sections 0.457 and 0.459 of the Commission’s Rules (CFR 47), and Section 552 (b) (4) of the Freedom of Information Act, Sammi Information Systems Co, Ltd. hereby requests confidentiality and treatment of certain information accompanying this application. The materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these matters might be harmful to the Applicant and provide unjustified benefits to its competitors. We are also hereby request Short-Term Confidentiality for 180 days after the grant as outlined in Public Notice DA 04-1705. This provision will give Sammi Information Systems Co, Ltd. temporary confidentiality of commercially sensitive information prior to product release. The requested Confidential and Temporary Confidential exhibits are listed as follows: Exhibit Type File Name Schematics CONF APPENDIX RQKSM-R400 SCH DIA.pdf Parts list CONF APPENDIX RQKSM-R400 PL.pdf Block diagram CONF APPENDIX RQKSM-R400 BLK DIA.pdf CONFIDENTIAL Operational description CONF APPENDIX RQKSM-R400 OpDes.pdf External Photos SHORT-TERM CONF RQKSM-R400 EXT Photo.pdf Internal Photos SHORT-TERM CONF RQKSM-R400 INT Photo.pdf Test-Setup Photos SHORT-TERM CONF RQKSM-R400 Test Photo.pdf SHORT-TERM CONFIDENTIAL User’s Manual SHORT-TERM CONF RQKSM-R400 Manual.pdf The Applicant understands that pursuant to Rule 0.457, disclosure of this application and all accompanying documentations, where applicable, will not be made public before the date of the Grant for this application. Sincerely, Dong-Su, Park Assistant Manager

11F Kolon Aston Bldg, 505-14, Gasan-dong, Guemcheon-Gu,Seoul,153-803 KOREA TEL No : +82 2 790-5505 FAX No : +82 2 790-5509 July 09, 2012 Federal Communications Commission Authorization and Evaluation Division 1435 Oakland Mills Road Columbia, MD 21046 In re : Sammi Information Systems Co, Ltd. FCC Application for FCC ID: RQKSM-R400 To Whom It May Concern: We, the undersigned, hereby attest to the fact that we will apply the Declaration of Conformity procedure to the class B computer peripheral portion of this composite filing. Regards, Dong-Su, Park Assistant Manager

11F Kolon Aston Bldg, 505-14, Gasan-dong, Guemcheon-Gu,Seoul,153-803 KOREA TEL No : +82 2 790-5505 FAX No : +82 2 790-5509 ATTESTATION STATEMENT In re : Sammi Information Systems Co, Ltd. FCC ID: RQKSM-R400 Date : July 09, 2012 15.247(a)(1) The hopping sequence must be pseudorandom all Channels are used equally on average the receiv er input bandwidth is approximately equal to the transmit bandwidth the receiver hops in sequence with the transmitted signal 15.247(g) The system is designed to comply with all of the regulations in Section 15.247 when the transmitter is presented with a continuous data (or information) 15.247(h) The system does not coordinate its channel selection/hopping sequence with other frequency hopping systems for the express purpose of avoiding the simultaneous occupancy of individual hopping frequ encies by multiple transmitters. Sincerely, Dong-Su, Park / Assistant Manager Company name: Sammi Information Systems Co, Ltd. Phone:(82)2-790-5505

FCC ID: RQKSM-R400 Copyright ○ c 2012, LTA Co., Ltd. Page 1 of 3 FCC ID: RQKSM-R400 Copyright ○ c 2012, LTA Co., Ltd. Page 2 of 3 FCC ID: RQKSM-R400 Copyright ○ c 2012, LTA Co., Ltd. Page 3 of 3

Copyright Ⓒ 2012, LTA Co., Ltd. Page 1 of 1 SAMPLE LABEL & LOCATION Sammi Information Systems Co.,Ltd. Model name: SM-R400 FCC ID: RQKSM-R400 This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference. (2) This device must accept any interference received, Including interference that may cause undersired operation. RATED: DC 3.7V Made in Korea

FCCID : RQKSM-R400 Copyright Ⓒ 2012, LTA Co., Ltd. Page 1 of 2 Main Board FCCID : RQKSM-R400 Copyright Ⓒ 2012, LTA Co., Ltd. Page 2 of 2 Bluetooth Antenna RFID Antenna

11F Kolon Aston Bldg, 505-14, Gasan-dong, Guemcheon-Gu,Seoul,153-803 KOREA TEL No : +82 2 790-5505 FAX No : +82 2 790-5509 RF EXPOSURE * The maximum power for portable devices is 60/f(GHz) mW. (KDB 447498 D01 Mobile Portable RF Exposure v04, 11/13/2009) This device operates at 57 mW. (Worst case, f=902.75MHz / 17.56dBm) At 902.75 MHz, [60/F(GHz)] => that would be 66.46 mW. Conclusion : The SAR Test is not required.

Ref. No.: LR500111207F Copyright ○ c 2012, LTA Co., Ltd. Page 1 of 58 243 Jubug-Ri,Yangji-Myeon, Yongin-Si, Gyeonggi-Do, Korea 449-822 Tel: +82-31-323-6008 Fax: +82-31-323-6010 http://www.ltalab.com Dates of Tests: June 18~ July 18, 2012 Test Report S/N: LR500111207F Test Site : LTA CO., LTD. CERTIFICATION OF COMPLIANCE FCC ID APPLICANT Equipment Class : Part 15 Spread Spectrum Transmitter (DSS) Manufacturing Description : UHF RFID Reader (Bluetooth Embedded) Manufacturer : Sammi Information System Co., Ltd. Model name Varient Model name : : SM-R400 Smart-R400 Test Device Serial No.: : Identical prototype Rule Part(s) : FCC Part 15.247 Subpart C; ANSI C-63.4-2003 Frequency Range : 2402 ~ 2480MHz (Bluetooth) 902.75 ~ 927.25MHz (RFID) RF power : Max 6.77 dBm – Conducted (Bluetooth) Max 17.56dBm – Conducted (RFID) Data of issue : July 18, 2012 This test report is issued under the authority of: The test was supervised by: Kyu-Hyun Lee, Manager Jung-Moo Her, Test Engineer This test result only responds to the tested sample. It is not allowed to copy this report even partly without the allowance of the test laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. NVLAP LAB Code.: 200723-0 RQKSM-R400 Sammi Information Systems Co., Ltd. Ref. No.: LR500111207F Copyright ○ c 2012, LTA Co., Ltd. Page 2 of 58 TABLE OF CONTENTS 1. GENERAL INFORMATION’S -------------------------------------------------------------------------- 2. INFORMATION’S ABOUT TEST ITEM ------------------------------------------------------------- 3. TEST REPORT --------------------------------------------------------------------------------------------- 3.1 SUMMARY OF TESTS ------------------------------------------------------------------------------ 3.2 INFORMATION ABOUT THE FHSS CHARACTERISTICS ------------------------------------- 3.3 TECHNICAL CHARACTERISTICS TEST ------------------------------------------------------- 3.3.1 CARRIER FREQUENCY SEPARATION ---------------------------------------------------- 3.3.2 NUMBER OF HOPPING FREQUENCIES -------------------------------------------------- 3.3.3 20 dB BANDWIDTH ---------------------------------------------------------------------------- 3.3.4 TIME OF OCCUPANCY (Dwell Time) ------------------------------------------------------- 3.3.5 TRANSMITTER OUTPUT POWER ---------------------------------------------------------- 3.3.6 BAND – EDGE & SPURIOUS ----------------------------------------------------------------- 3.3.7 FIELD STRENGTH OF HARMONICS-Transmitter ------------------------------------------- 3.3.8 AC CONDUCTED EMISSIONS ---------------------------------------------------------------- APPENDIX APPENDIX TEST EQUIPMENT USED FOR TESTS -------------------------------------------- 3 4 5 5 6 7 7 10 12 22 29 36 46 52 57 Ref. No.: LR500111207F Copyright ○ c 2012, LTA Co., Ltd. Page 3 of 58 1. General information’s 1-1 Test Performed Company name : LTA Co., Ltd. Address : 243, Jubug-ri,Yangji-Myeon,Youngin-Si, Kyunggi-Do, Korea. 449-822 Web site : http://www.ltalab.com E-mail : [email protected] Telephone : +82-31-323-6008 Facsimile +82-31-323-6010 Quality control in the testing laboratory is implemented as per ISO/IEC 17025 which is the “General requirements for the competents of calibration and testing laboratory”. 1-2 Accredited agencies LTA Co., Ltd. is approved to perform EMC testing by the following agencies: Agency Country Accreditation No. Validity Reference NVLAP U.S.A 200723-0 2012-09-30 ECT accredited Lab. RRL KOREA KR0049 2013-04-24 EMC accredited Lab. FCC U.S.A 610755 2014-04-27 FCC filing FCC U.S.A 649054 2013-04-13 FCC CAB VCCI JAPAN R2133(10m), C2307 2014-06-21 VCCI registration VCCI JAPAN T-2009 2013-12-23 VCCI registration VCCI JAPAN G-563 2015-05-28 VCCI registration IC CANADA 5799A-1 2015-06-21 IC filing Ref. No.: LR500111207F Copyright ○ c 2012, LTA Co., Ltd. Page 4 of 58 2. Information’s about test item 2-1 Client & Manufacturer Company name : Sammi Information Systems Co., Ltd. Address : 11F Kolon Aston Bldg, 505-14, Gasan-dong,Guemcheon-Gu, Seoul,153-803 KOREA Telephone / Facsimile : +82 2 790-5505/ +82 2 797-9206 2-2 Equipment Under Test (EUT) Trade name : UHF RFID Reader (Bluetooth Embedded) Model name Variant Model name : : SM-R400 Smart-R400 Serial number : Identical prototype Date of receipt : June 18, 2012 EUT condition : Pre-production, not damaged Antenna type : PCB Pattern antenna, Max Gain -0.94 dBi (Bluetooth) Patch Antenna, Max Gain 0.135 dBi (RFID) Frequency Range : 2402 ~ 2480MHz (Bluetooth) 902.75 ~ 927.25MHz (RFID) RF output power : Max. 6.77 dBm - Conducted (Bluetooth) Max 17.56 dBm - Conducted (RFID) Number of channels : 79 (Bluetooth) / 50 (RFID) Duty cycle : 82.40 % (Bluetooth) Channel spacing : 1MHz (Bluetooth) / 500kHz (RFID) Channel Access Protocol : Frequency Hopping Spread Spectrum (FHSS) Power Source : 3.7 Vdc from Internal Battery (Li-Ion Polymer Battery) Firmware Version : V1.0.0 2-4 Tested frequency Bluetooth LOW MID HIGH Frequency (MHz) 2402 2441 2480 RFID LOW MID HIGH Frequency (MHz) 902.75 914.75 927.25 2-5 Ancillary Equipment Equipment Model No. Serial No. Manufacturer - - - - Ref. No.: LR500111207F Copyright ○ c 2012, LTA Co., Ltd. Page 5 of 58 3. Test Report 3.1 Summary of tests FCC Part Section(s) Parameter Limit Test Condition Status (note 1) 15.247(a) Carrier Frequency Separation > 25 kHz C 15.247(a) Number of Hopping Frequencies > 15 hops C 15.247(a) 20 dB Bandwidth 99% Bandwidth > 1.5 MHz C 15.247(a) Dwell Time < 0.4 seconds C 15.247(b) Transmitter Output Power < 250 mWatt C 15.247(d) Conducted Spurious emission > 20 dBc C 15.247(d) Band Edge > 20 dBc Conducted C 15.249 / 15.209 Field Strength of Harmonics < 54 dBuV (at 3m) C 15.109 Field Strength - Radiated C 15.207 /15.107 AC Conducted Emissions EN 55022 Line Conducted C 15.203 Antenna requirement - - C Note 1: C=Complies NC=Not Complies NT=Not Tested N…

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FCC ID: RQKSM-R400 Copyright ○ c 2012, LTA Co., Ltd. Page 1 of 3 Radiated Emission (30MHz ~ 1GHz) FCC ID: RQKSM-R400 Copyright ○ c 2012, LTA Co., Ltd. Page 2 of 3 Radiated Emission (Above 1GHz) FCC ID: RQKSM-R400 Copyright ○ c 2012, LTA Co., Ltd. Page 3 of 3 Conducted Emission